Enye yezinto ezivame kakhulu futhi ezivame kakhulu eminyakeni yamuva, izinkinga zamathambo ezinganeni yi-Perthes 'isifo. Lesi sifo sokuhlanganiswa kwe-hip ne-femur, ehlobene nokuphulwa kwe-articular cartilage nokuphazamiseka kwegazi esihlokweni se-femur, kulandelwa i-necrosis. Phakathi kwe-osteochondropathies yethambo, i-Perthes 'isifo sika-1.9%, futhi phakathi kwezifo ezihlangene - 25%.
Ngokuvamile, lesi sifo sitholakala kubantwana besilisa abaneminyaka engama-3 kuya kwengu-14. Kuthatha isikhathi eside kakhulu - kusukela eminyakeni emi-3 kuya kwemihlanu. Kukhona imiphumela engenzeka ye-Perthes 'isifo, njengokudonswa okukhulu kwekhanda lesifuba lesifazane (livela ngo-20-25% weziguli zezingane), futhi esikhathini esizayo - ukuthuthukiswa kokukhubazeka kwe-coxarthrosis, okungabangela ukukhubazeka kwangaphambili.
Izimbangela ze-Perthes isifo
Kuze kube manje, azikho izimbangela ezicacile zezifo ze-Perthes. Kodwa phakathi kwezizathu zokufakaza, odokotela babiza lokhu okulandelayo:
- ukulimala;
- izifo ze-catarrhal;
- ukucindezeleka ngokweqile kumajoyini, ikakhulukazi uma umzimba wezingane ubuthakathaka;
- ukuphazamiseka kwemithi;
- ukuhlukaniswa kokuzalwa kwangasese (icala elingavamile kakhulu);
- isithandwa.
Izimpawu ze-Perthes isifo
Izimpawu zokuqala zibuhlungu futhi zikhukhumezekile, ezikhungethwe ukuhamba nokuma isikhathi eside. Ngobusuku ubuhlungu buyanyamalala, ukunyakaza kokuphumula akubuhlungu kakhulu. Ingane egulayo ibhekene nokukhathazeka okukhulu kokuthatha futhi ukujikeleza ithanga. Ezingxenyeni zokugcina, isifo sikaPerthes singahambisana nokuncishiswa kwesitho.
Okufundiswa kakhulu ukuxilongwa kwe-radiation, i-ultrasound kanye ne-radiography yamalungu e-hip (amadolo). Njengomthetho, elinye lamalungu alithintekayo, ngokuvamile kaningi elilungile.
Ukwelashwa kwesifo se-Perthes ezinganeni
Isimiso esiyinhloko sokwelashwa ukuthuthukisa ukuhlinzeka ngegazi nokuphumula endaweni ethintekile yethambo. Ukuze ugweme ukuchithwa kwekhanda lesifazane, umntwana unikezwa ukuphumula kombhede, kanye nokwelula kwesilonda esibuhlungu. Ngokuhamba kwesikhathi, ukuhamba ngezintambo kuvunyelwe ukusebenzisa izicathulo zomuthi wama-orthopedic. Kunconywa ukuba uhlaziye kusukela ezinsukwini zokuqala zokwelashwa.
Izingane ezibhekene nezifo zikaPerthes, abazali abaningi baphathwa ezikhungweni zempilo ezikhethekile, lapho zonke izimo zenzelwe le njongo futhi kukhona abasebenzi bezokwelapha bephrofayli efanele.
Ukubhubhisa nge-Perthes isifo
I-Massage isetshenziselwa ukuphathwa ngendlela enzima yama-Perthes. Umgomo wayo ukuthuthukisa ukujikeleza kwegazi kanye nokwehlukanisa i-lymph, ukukhulula ubuhlungu, ukuvimbela i-atrophy of muscle, ukusheshisa izinqubo zokuvuselelwa kwamathambo amathanga nokubuyiselwa kwemishini ye-joint.
Ukumisa umzimba kudinga isifunda se-lumbosacral, amajoyini we-hip, izintambo, iziqhwa nemilenze ephansi. Uma ukusetshenziselwa okusetshenziselwayo kusetshenziselwa, izindawo ezintathu zokugcina zomlenze ogulayo ziyatholakala ukusikhipha. Ngakho-ke, umlenze onempilo uhlaselwe ngokugcwele, futhi umlenze osolunye uhambisana nokuhlunga kalula.
Lapho uhlalisa umlenze wesifo, ukunyakaza kusetshenziselwa ukulandelana okulandelayo:
- Ukuqhaqhaqhazela.
- Ukubhoboza iminwe engu-4 ngokuvunguza.
- Ukwamukela ukuphazamiseka okungahambi kahle.
- Ukuxoxisana okulula okungekho emkhathini noma okuphakathi.
- Ukuphinde uvumelane nokushaya okungahambi kahle.
Umlenze wesiguli kufanele uhlolwe ukusingatha kuzo zonke izinhlangothi. Ngaphezu kwalokho, kuyasiza ukusikhipha indawo ejikeleze isikhala esikhulu futhi siphelele, usebenzisa inqubo yokugaya ngeminwe emibili.
Ngemuva kokukhishwa kwe-gypsum noma isandiso, isidingo sokusikhipha umlenze onempilo siyanyamalala. Kungcono ukugxila ezifundeni ze-lumbosacral ne-gluteal, kanye nokuhlanganiswa kwe-hip.